Neck Compartments and Triangles

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Questions and Answers

Which structure is responsible for guarding the laryngeal inlet?

  • Tonsils
  • Epiglottis (correct)
  • Uvula
  • Soft palate

At what level does the pharynx transition into the esophagus?

  • C4 vertebra
  • C6 vertebra (correct)
  • C7 vertebra
  • C5 vertebra

Which component of the nasal cavity does NOT contribute to its medial wall?

  • Floor
  • Nasal septum
  • Lateral wall (correct)
  • Roof

Which of the following is a type of para nasal sinus?

<p>Maxillary sinus (C)</p> Signup and view all the answers

The hard palate is continuous posteriorly with which structure?

<p>Soft palate (D)</p> Signup and view all the answers

Which part of the pharynx contains the opening of the Eustachian tube?

<p>Nasopharynx (A)</p> Signup and view all the answers

Which part of the nasal cavity is responsible for housing the three conchae?

<p>Lateral wall (C)</p> Signup and view all the answers

What structure divides the nasopharynx from the oropharynx?

<p>Soft palate (B)</p> Signup and view all the answers

The nasal cavity is mainly divided by the:

<p>Nasal septum (D)</p> Signup and view all the answers

Which of the following is NOT true regarding the components of the pharynx?

<p>The laryngopharynx is above the oropharynx. (D)</p> Signup and view all the answers

Which compartment of the neck contains the infrahyoid and suprahyoid muscles?

<p>Superficial muscular compartment (B)</p> Signup and view all the answers

What structure primarily connects the two lobes of the thyroid gland?

<p>Isthmus (A)</p> Signup and view all the answers

Which of the following muscles is NOT located in the superficial muscular compartment?

<p>Longus colli (A)</p> Signup and view all the answers

Which compartment contains the pretracheal fascia?

<p>Visceral compartment (D)</p> Signup and view all the answers

What does the carotid sheath encompass?

<p>Common and internal carotid arteries (B)</p> Signup and view all the answers

The deep muscular compartment is mainly surrounded by which fascia?

<p>Prevertebral fascia (D)</p> Signup and view all the answers

Which triangle contains the submandibular salivary gland?

<p>Digastric triangle (D)</p> Signup and view all the answers

The anterior boundary of the anterior triangle of the neck is defined by which structure?

<p>Anterior midline of the neck (C)</p> Signup and view all the answers

Which layer of fascia surrounds the cervical vertebrae in the neck?

<p>Prevertebral fascia (C)</p> Signup and view all the answers

What is the main function of the cervical plexus in the deep muscular compartment?

<p>Supply nerves to muscles (C)</p> Signup and view all the answers

Flashcards

Brachial Plexus

A bundle of nerves that supplies the upper limb, formed by the spinal nerves from C5 to T1.

Nasal Cavity

The space inside the nose, divided into two halves by the nasal septum. Each half contains a roof, floor, medial wall, and lateral wall.

Hard Palate

The bony roof of the mouth. It is continuous with the soft palate.

Soft Palate

The muscular part of the roof of the mouth that hangs down in the back.

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Nasal Septum

The vertical wall separating the two halves of the nasal cavity.

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Conchae (Superior, Middle, Inferior)

Three bony projections on the side walls of the nasal cavity that increase the surface area.

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Paranasal Sinuses

Air-filled spaces in some skull bones that connect to the nasal cavity. They include the frontal, sphenoidal, ethmoidal, and maxillary sinuses.

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Eustachian Tube

A tube that connects the middle ear to the nasopharynx, allowing pressure equalization.

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Pharynx

A muscular tube that starts at the base of the skull and ends at the esophagus. It connects the nasal cavity, oral cavity, and larynx.

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Epiglottis

A flap of cartilage that covers the opening of the larynx during swallowing, preventing food from entering the airways.

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Investing Fascia

The superficial muscular compartment of the neck is enclosed by a layer of fascia called the investing fascia. This compartment houses several muscles, including the sternocleidomastoid and trapezius, which are responsible for head movement and neck support.

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Pretracheal Fascia

The visceral and vascular compartments of the neck contain structures like the thyroid gland, larynx, and pharynx. They are surrounded by the pretracheal fascia, which acts as a protective layer.

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Carotid Sheath

The carotid sheath is a tube of fascia in the neck that encloses the common and internal carotid arteries, the internal jugular vein, and the vagus nerve. These structures work together to deliver blood and control vital functions.

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Prevertebral Fascia

The deep muscular compartment of the neck is enveloped by the prevertebral fascia and contains muscles that support the spine and neck movement. It also houses the cervical plexus, a network of nerves that control sensory and motor functions in the neck and head.

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Sternocleidomastoid Muscle

The sternocleidomastoid muscle is a large, prominent muscle in the neck that connects the sternum and clavicle to the mastoid process of the skull. It is responsible for head rotation and flexion.

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Trapezius Muscle

The trapezius muscle is a large, triangular muscle that covers the back of the neck and shoulders. It is responsible for shoulder elevation, retraction, and depression.

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Thyroid Gland

The thyroid gland is a butterfly-shaped endocrine gland located in the neck, responsible for producing hormones that regulate metabolism.

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Trachea

The trachea, also known as the windpipe, is the tube connecting the larynx to the bronchi. It's the passageway for air to and from the lungs.

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Study Notes

Neck Compartments

  • The neck has three compartments surrounding cervical vertebrae, each with its own fascia.
  • The superficial muscular compartment has investing fascia.
  • The visceral and vascular compartments have pretracheal fascia and carotid sheath respectively.
  • The deep muscular compartment has prevertebral fascia.

Superficial Muscular Compartment

  • Contains sternomastoid and trapezius muscles.
  • Includes infrahyoid muscles like omohyoid (superior and inferior bellies).
  • Includes suprahyoid muscles like digastric (anterior and posterior bellies).
  • Investing fascia covers and surrounds these structures and defines the triangles of the neck.

Neck Triangles (Anterior)

  • Boundaries include sternomastoid, mandible, and anterior midline of the neck.
  • Subdivided into submental and digastric triangles.
  • Digastric triangle contains the submandibular salivary gland.
  • Carotid triangle contains the carotid sheath.
  • Muscular triangle is another division.
  • Post. Triangle is between sternomastoid, trapezius, and clavicle.

Visceral & Vascular Compartment

  • Contains organs (medially) and vessels (laterally) in the anterior-posterior arrangement.
  • Organs include thyroid gland (with isthmus connecting lobes), larynx, and pharynx.
  • Pharynx leads into the esophagus.
  • Carotid sheath surrounds the common and internal carotid arteries, internal jugular vein, and vagus nerve.

Deep Muscular Compartment

  • Surrounded by prevertebral fascia, containing prevertebral muscles (e.g., longus colli).
  • Also contains lateral scalene (anterior, middle, posterior) and posterior back muscles (4 layers).
  • Includes cervical plexus (C1-C4 spinal nerves) and brachial plexus nerves (C5-T1 spinal nerves) related to the upper limb.

Sagittal Section of the Head & Neck

  • Nasal cavity is divided by a nasal septum into two halves.
  • The hard palate is continuous with the soft palate, which projects into the midline as the uvula.
  • Lateral walls of the nasal cavity have conchae (superior, middle, inferior).
  • Para-nasal sinuses are air-filled spaces in skull bones (frontal, sphenoidal, ethmoidal, maxillary).

Oral Cavity and Pharynx

  • The pharynx is a muscular tube behind the oral cavity and larynx, leading to the esophagus.
  • It is divided into nasopharynx, oropharynx, and laryngopharynx.
  • Nasopharynx contains the opening of the Eustachian tube.
  • Oropharynx contains palatine tonsils.
  • Larynx contains a significant structure—the epiglottis. 

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